Jeffrey Taekman

Jeffrey Taekman
Duke University Medical Center | DUMC · Department of Anesthesiology

M.D.

About

58
Publications
7,007
Reads
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1,052
Citations
Citations since 2017
11 Research Items
590 Citations
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2017201820192020202120222023020406080100
2017201820192020202120222023020406080100
2017201820192020202120222023020406080100
Additional affiliations
August 1999 - present
January 1996 - December 2008

Publications

Publications (58)
Article
This article was migrated. The article was not marked as recommended. Background: Grit, defined as perseverance and passion for long-term goals, is associated with high levels of success in multiple domains but has only been minimally studied in the medical fields. Aims: This study examined whether higher levels of grit are associated with measures...
Article
Immersive learning environments that use virtual simulation technology are increasingly relevant as medical learners train in an environment of restricted clinical training hours and a heightened focus on patient safety. We conducted a consensus process with a breakout group of the 2017 Academic Emergency Medicine Consensus Conference “Catalyzing S...
Article
Full-text available
IntroductionPostpartum hemorrhage (PPH) remains a global challenge, affecting thirteen million women each year. In addition, PPH is a leading cause of maternal mortality in Asia and Africa. In the U.S.A., care of critically ill patients is often practiced using mannequin-based simulation. Mannequin-based simulation presents challenges in global hea...
Article
Full-text available
Objectives: Electronic health information overload makes it difficult for providers to quickly find and interpret information to support care decisions. The purpose of this study was to better understand how clinicians use information in critical care to support the design of improved presentation of electronic health information. Methods: We co...
Article
Background: Patient handovers (handoffs) following surgery have often been characterized by poor teamwork, unclear procedures, unstructured processes, and distractions. A study was conducted to apply a human-centered approach to the redesign of operating room (OR)-to-ICU patient handovers in a broad surgical ICU (SICU) population. This approach en...
Article
Objective: We describe health care simulation, designed primarily for training, and provide examples of how human factors experts can collaborate with health care professionals and simulationists-experts in the design and implementation of simulation-to use contemporary simulation to improve health care delivery. Background: The need-and the opp...
Article
Neurosurgery is one of the most technically demanding and liable of all medical professionals. More than 75% of neurosurgical errors deemed as preventable and technical in nature. Yet in a specialty that requires such high level of technical expertise, with large consequences for error, there are even fewer opportunities for residents in training t...
Article
Social media is a nascent medical educational technology. The benefits of Twitter include (1) easy adoption; (2) access to experts, peers, and patients across the globe; (3) 24/7 connectivity; (4) creation of virtual, education-based communities using hashtags; and (5) crowdsourcing information using retweets. We report on a novel Twitter-augmented...
Article
The delivery of personalized medicine utilizing genetic and genomic technologies is anticipated to involve many medical specialties. Interprofessional education will be key to the delivery of personalized medicine in order to reduce disjointed or uncoordinated clinical care, and optimize effective communication to promote patient understanding and...
Article
Full-text available
Remotely monitored patients may be at risk for a delayed response to critical arrhythmias if the telemetry watchers who monitor them are subject to an excessive patient load. There are no guidelines or studies regarding the appropriate number of patients that a single watcher may safely and effectively monitor. Our objective was to determine the im...
Article
Introduction/Background: Over 370,000 cardiopulmonary resuscitations are attempted each year in US hospitals.1 For many, pulseless ventricular tachycardia or ventricular fibrillation (VT/VF) is the first monitored arrhythmia, which may be treated successfully with prompt defibrillation. Yet for 30% of patients, defibrillation is delayed more than 2...
Article
Introduction/Background: Obstetric hemorrhage (OH) is a leading cause of maternal morbidity and mortality worldwide. Multidisciplinary initiatives are needed to improve outcomes in women experiencing OH. To this end, the Joint Commission recommends the use of clinical protocols for OH management.1 These protocols must be practiced by the team to en...
Article
The authors developed a Standardized Assessment for Evaluation of Team Skills (SAFE-TeamS) in which actors portray health care team members in simulated challenging teamwork scenarios. Participants are scored on scenario-specific ideal behaviors associated with assistance, conflict resolution, communication, assertion, and situation assessment. Thi...
Article
As capabilities for storing and sharing electronic health data expand, it becomes increasingly important to classify, prioritize, and contextually link patient health data. Providers using electronic health records (EHR) complain that it is difficult for them to rapidly find information they need and that key information can be missed. Unfortunatel...
Chapter
Traditional, ineffective forms of passive education are crumbling under the demands of learners who have grown up digital. Computer and communication capabilities, critical to so many of our simulation tools, are expanding rapidly. These technological advances will usher in a new age of learning technologies for simulation and beyond. This chapter...
Article
Summary statement: Simulation as an educational technique is increasingly used in health care to teach about managing critical events and life-threatening situations and, infrequently, to teach about death. There is considerable controversy over whether to allow the simulator to die during a session when death is not a predefined learning objectiv...
Article
Full-text available
Prior research has revealed existing operating room (OR) patient monitors to provide limited support for prompt and accurate decision-making by anesthesia providers during crises. Decision support tools (DSTs) developed for this purpose typically alert the anesthesia provider to existence of a problem, but do not recommend a treatment plan. There i...
Article
"Simulation Roulette" is a new method of "on-the-fly" simulation scenario creation that incorporates a game-like approach to critical scenarios and emphasizes prescenario preparation. We designed it to complement our traditional anesthesia simulation curriculum, in which residents are exposed to predefined "critical" scenarios. During typical scena...
Article
Full-text available
The authors conducted a randomised controlled trial of four pedagogical methods commonly used to deliver teamwork training and measured the effects of each method on the acquisition of student teamwork knowledge, skills, and attitudes. The authors recruited 203 senior nursing students and 235 fourth-year medical students (total N = 438) from two ma...
Article
Full-text available
Recognition of learning curves in medical skill acquisition has enhanced patient safety through improved training techniques. Clinical trials research has not been similarly scrutinised. The VALsartan In Acute myocardial iNfarcTion, a large multinational, pragmatic, randomised, double-blind, multicentre trial, was retrospectively evaluated for evid...
Article
Historic Views Old forms of education are slowly crumbling under the weight of rapidly advancing computer and communication technologies along with the demands of learners who have grown up digital. 1,2 These advances necessitate new thinking about the ways we educate and assess our healthcare workforce. Choosing anesthesiology (or any other health...
Conference Paper
We argue that a critical component of designing comprehensible intelligent systems is finding the right applications for intelligence and designing intelligent solutions toward those applications. While we do not refute the value of good attention to later stages of human-centered design such as the application of human interface design principles...
Article
Biological and chemical warfare training is often overlooked in residency programs, but is nonetheless an extremely important part of the curriculum and should be implemented before allowing residents to graduate. The purpose of this case is twofold: (1) explore the diagnosis and treatment of Sarin exposure, (2) discuss the methods of protecting ag...
Article
Problems with communication and team coordination are frequently linked to adverse events in medicine. However, there is little experimental evidence to support a relationship between observer ratings of teamwork skills and objective measures of clinical performance. Our main objective was to test the hypothesis that observer ratings of team skill...
Article
Biological and chemical warfare training is often overlooked in residency programs, but is nonetheless an extremely important part of the curriculum and should be implemented before allowing residents to graduate. The purpose of this case is twofold: (1) explore the diagnosis and treatment of Sarin exposure, (2) discuss the methods of protecting ag...
Conference Paper
This paper discusses the use of human patient simulators in medical cognitive engineering research. We present different types of simulators and their application in the design and evaluation of medical devices and procedures, as part of cognitive task analysis, and in studies of performance shaping factors. We conclude with the limitations and adv...
Article
Eye tracking can be a valuable tool for collecting data about perception and attention in task performance, but its use in human factors research has been limited. This may be due to the fact that the coding and visualization of eye tracking data can be difficult and time-consuming. In this paper we introduce a video-coding application for coding a...
Chapter
Good team communication and coordination are critical to the safe delivery of health care. Efforts at training students, clinicians, and support staff in team coordination skills are beginning to be implemented across the country. However, there is limited data validating the effectiveness of such programs or highlighting the features that make one...
Article
Full-text available
We hypothesized that time of day of surgery would influence the incidence of anesthetic adverse events (AEs). Clinical observations reported in a quality improvement database were categorized into different AEs that reflected (1) error, (2) harm, and (3) other AEs (error or harm could not be determined) and were analyzed for effects related to star...
Article
Errors in clinical research can be costly, in terms of patient safety, data integrity, and data collection. Data inaccuracy in early subjects of a clinical study may be associated with problems in the design of the protocol, procedures, and data collection tools. High-fidelity patient simulation centers provide an ideal environment to apply human-c...
Article
Full-text available
One major limitation in the use of human patient simulators is a lack of objective, validated measures of human performance. Objective measures are necessary if simulators are to be used to evaluate the skills and training of medical practitioners and teams or to evaluate the impact of new processes or equipment design on overall system performance...
Article
Training of health care research personnel is a critical component of quality assurance in clinical trials. Interactivity (such as simulation) is desirable compared with traditional methods of teaching. We hypothesized that the addition of an interactive simulation exercise to standard training methods would increase the confidence of study coordin...

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